NPIMap

Pro Pain LLC

A Medicare group practice based in Fenton, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0941563225), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941563225The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180419001389 MO Part B Supplier - Clinic/Group Practice 1205339074
O20190130000208 MO DME Supplier - Physician - Interventional Pain Management 1205339074
O20241111002064 MO DME Supplier - Physician - Interventional Pain Management 1235965401

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (6).

Sources for this page